TITLE:
Lower Lid Entropion Secondary to Missed Intraorbital Foreign Body in a Child
AUTHORS:
Othman Khairuddin, Abdul Rashid Suraida, Li Min Evelyn Tai, Hussein Adil, Ahmad Tajudin Liza-Sharmini, Ibrahim Mohtar
KEYWORDS:
Eye, Eye Injuries, Eye Foreign Bodies, Child, Entropion
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.6 No.4,
October
21,
2016
ABSTRACT: Background: Intraorbital foreign bodies can result in various complications if not
appropriately managed. Aim: To report a case of lower lid entropion secondary to a
missed intraorbital foreign body. Case Presentation: A 7-year-old boy presented
with inward turning of the left lower lid for three days prior to admission. A week
before, the child was in the garden when part of the roof of their home suddenly
broke off, with pieces of the debris falling near him. He complained of left eye irritation,
but a visit to a general practitioner found no eye abnormalities. Three days after
that, the mother sought an ophthalmology opinion as she noticed inversion of the
left lower lid. On examination, visual acuity in both eyes was 6/6. There was left lower
lid entropion, and a deeply embedded foreign body seen in the lower lid. No other
eye abnormalities noted. Computed tomography scan of the orbits revealed a welldefined
foreign object in the lower orbit, fracturing the antero-superior wall of the
left maxillary sinus. The left eye foreign body was removed uneventfully via a transconjunctival
approach. Conclusion: A thorough examination is mandatory in any
case of ocular trauma especially in young children, who are usually unable to provide
a clear history of the injury.